Provider Demographics
NPI:1336863877
Name:ANONUI HEALTH & WELLNESS HAWAII LLC
Entity Type:Organization
Organization Name:ANONUI HEALTH & WELLNESS HAWAII LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-979-1712
Mailing Address - Street 1:45-850 LUANA PL APT D
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3466
Mailing Address - Country:US
Mailing Address - Phone:808-979-1712
Mailing Address - Fax:
Practice Address - Street 1:45-850 LUANA PL APT D
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3466
Practice Address - Country:US
Practice Address - Phone:808-979-1712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty